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GARFIELD BEACH CVS, L.L.C.
CHC28984-04 CENTER FOR FAMILY HEALTH & EDUCATION, INC.
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH & EDUCATION, INC.
Subdivision Name
Priority Care Medical Group Mission Hills
Type
HRSA-Funded Health Center
340B ID
CHC28984-04
Entity Address
14901 Rinaldi Street, Suite 202
Mission Hills, CA 91345-1254
Grant Number
H80CS28984
Participating Start Date
7/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17395
11133 BALBOA BLVD
GRANADA HILLS, CA 91344
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/18/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marisol Ramirez, Chief Administrative Officer
(818) 899-5555 Ext: 105
Contract Pharmacy Representative
Center for Family Health and Education
Steven Sanzo, Chief Administrative Officer
(818) 899-5555
Signed By Date
7/3/2019
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